Semin Musculoskelet Radiol 2017; 21(03): 290-302
DOI: 10.1055/s-0037-1602405
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Cone Beam CT of Trauma of Small Bones and Joints

Filip M. Vanhoenacker
1   Department of Radiology, AZ Sint-Maarten, Duffel-Mechelen, Belgium
2   Department of Radiology, Antwerp University Hospital, Edegem, Belgium
3   Department of Radiology, Ghent University Hospital, Ghent, Belgium
,
Julie Desimpel
1   Department of Radiology, AZ Sint-Maarten, Duffel-Mechelen, Belgium
2   Department of Radiology, Antwerp University Hospital, Edegem, Belgium
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Publikationsdatum:
01. Juni 2017 (online)

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Abstract

Evaluation of trauma of small bones or joints is traditionally done by conventional radiographs (CRs). Although multidetector computed tomography (MDCT) has a better sensitivity than CR in fracture detection and evaluation of complex fractures, high doses of radiation prevent systematic use of MDCT in fracture evaluation. Cone beam computed tomography (CBCT) combines a high spatial resolution and relatively low radiation dose and is therefore a very valuable technique to evaluate trauma of small bones and joints in patients with negative or doubtful radiographs and a high clinical suspicion for fractures or when complex fractures are suspected. CBCT may also be useful for the evaluation of chronic trauma or follow-up of fractures.